Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $803.00 / $2,812.00	Facility		$158.49	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $192.36 / $363.36	Professional		$81.18	$192.36	$363.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $142.40 / $171.99	Professional		$123.84	$142.40	$171.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.30 / $655.30 / $786.37	Facility		$655.30	$655.30	$786.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $141.44 / $326.20	Professional		$96.19	$141.44	$326.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $120.22 / $130.09	Facility		$80.16	$120.22	$130.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.13 / $247.19 / $318.70	Professional		$222.13	$247.19	$318.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $206.80 / $527.98	Professional		$112.56	$206.80	$527.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $163.76 / $197.79	Professional		$142.41	$163.76	$197.79
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $917.00 / $1,574.00	Facility		$330.00	$917.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.65 / $339.73 / $505.51	Professional		$213.65	$339.73	$505.51